What can be done to help patients with narrow nasal passages and/or nasal discomfort during office-based laser laryngeal surgery? Background: Although channeled flexible laryngoscopes have permitted a transnasal approach for biopsies, […]
Medical Management for CRS Improves QOL
In patients who have failed medical management for chronic rhinosinusitis (CRS), are there greater quality of life (QOL) outcome improvements with further medical therapy or endoscopic sinus surgery (ESS)? Background: Although […]
Middle Turbinate Variations Don’t Justify Sinus Surgery
Are anatomic variations of the middle turbinate (MT), such as concha bullosa and paradoxical MT, associated with nasal septal deviation or chronic rhinosinusitis (CRS)? Background: CRS has multiple underlying causes. Although […]
The Role of Balloon Catheter Sinuplasty in Pediatric Sinus Disease
What is the role of balloon catheter sinuplasty (BCS) in the surgical management of pediatric sinus disease? Background: Adenoidectomy and functional endoscopic sinus surgery have traditionally comprised the surgical management of […]
The Case for Second Look Procedures
Are there any intraoperative findings that could determine whether a second look procedure should be performed in pediatric cholesteatoma surgery? Background: There is no clear consensus regarding the surgical management of […]
Health Care Utilization for Allergic Rhinitis
Have there been incremental increases in health care utilization and expenditures for allergic rhinitis (AR) patients? Background: AR, one of the most common and likely underdiagnosed conditions, has been studied for […]
Medical Therapy vs. Surgery for CRS
How does surgery perform prospectively when compared to medical therapy for chronic rhinosinusitis (CRS)? Background: Since the introduction of endoscopic diagnosis and surgery for CRS in 1985, very few prospective studies […]
Scant Data on Oral Corticosteroid Therapy for CRS Without Polyps
How well do our non-polyp chronic rhinosinusitis patients do when treated with oral steroids as part of their medical therapy? Background: Because we now look at chronic rhinosinusitis (CRS) as an […]
Single-Staged Modified UPPP with Nasal Surgery Safe for OSAS Patients
Can an anatomy-based staging system effectively predict the efficacy of uvulopalatopharyngoplasty (UPPP) performed along with nasal surgery? Background: While the overall efficacy of UPPP is estimated at 40 percent, Friedman and […]
Mild OSA Linked to Nasal Obstruction
What impact does nasal obstruction have on obstructive sleep apnea (OSA) as measured by polysomnography (PSG)? Background: While nasal obstruction is often identified and treated in patients with OSA, its role […]